Shehzad Ullah Khan, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

692116 Issued in NY

Practice address

79 Hyde Park Ave
Bay Shore, NY 11706-1615

Phone

(631) 524-4152

NPI assigned

Jan 31, 2015

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422662400000",
    "number": "1902296700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 HYDE PARK AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117061615",
            "telephone_number": "631-524-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 HYDE PARK AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117061615",
            "telephone_number": "631-524-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SHEHZAD",
        "middle_name": "ULLAH",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-31",
        "last_updated": "2015-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "692116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asma Khalid, PA-C
• Aiden Khalifa, D.O.
• Cynthia Khan
• Imran Khan, MD
• Jafir Khan, MD
• Dheeraj Khanna, MD
• Brandon I Khanyan
• Gita Monica Khilnani, M.D.
• Yenny Khizhnyak, FNP
• Asma Khursheed, MD

• Registered Nurse in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.